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4528 Mallard Tr S -1 �A r ��. t�R . BP. RECEIPT r ' 1 ,� . 2 . ' . IS U T F B R RECE1Pt t1A .:pR' .. Tt`RPuM '.Si E 4 28 S h Ma1Iard ' `ral .: PER1 ouesTE© 'i LO R ECdsUB Th mas .lak, Woods L19.4041T : h »na L�k Dev **eat L d s E Ft WMER __ 7A Prior Lake MN ... '. 447 -2 • 2 4 > x rlr ' G ib - an .P , & HPatirtk .a. mss 147, +5 South. Rtab-eit, . r # L o co .Y � � . tR �CI'kY,S7R'T MN � ` °,�N�' topJ 4 b 114 -n:as Lake Develop Ltd 4 ADDRESS: b 64 , xu s t,a C 1{a$4 E . o1GMA1100 E I Dior ;take, M - : ESP 55372 CITY Si'A� � - pjtE 447 -2424 . s C - � .--,--,, ° - i �p.BE ii it i'� L�Vf r I For Office Use j f ~ City of EaV~ , Permit#:~~~ I Permit Fee:. S 3830 Pilot Knob Road I Eagan MN 55122 Date Received: $ 1 -n I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: - I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~1 Unit Name: ~l G~ d y, 7 ~lfa . '7 s-~) r Phone: Resident/ J> / Owner Address /City./ Zip:. a~ mac. ~ ~a Applicant is: Owner Contractor Type of Work Description of work: )FC roo j'" Construction Cost: I 31."" 0 00 ( CIO / Multi-Family Building: (Yes No. ) Company: ~~l d C~ 1. ip A Contact: leo F:•~~ .CU~ Contractor Address: 00 %1V ity: Lc~'/ ' State: Zip: G Phone: (D~r 6 -630e License Sc 63 1 635- Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: i Licensed Plumber: I Phone: 1 Mechanical Contractor: Phone: { 1 i Sewer & Water Contractor: _ _ _ _ Phone: ! NOTE: Plans and supporting _documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wrrv.gooherstateonecall org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x C k66/1) x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132092 Date Issued:07/24/2015 Permit Category:ePermit Site Address: 4528 Mallard Tr S Lot:22 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Barbara J Hodapp 4528 Mallard Tr S Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175024 Date Issued:03/08/2022 Permit Category:ePermit Site Address: 4528 Mallard Tr S Lot:22 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-220 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Judy Peterson 4528 Mallard Trl S Eagan MN 55122 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature